成人急性头痛评估——全科医生需要了解的内容。
Assessment of acute headache in adults - what the general physician needs to know.
机构信息
Atkinson Morley Regional Neurosciences Centre, St George's Hospital, London, UK.
St George's Hospital, London, UK.
出版信息
Clin Med (Lond). 2018 Oct;18(5):422-427. doi: 10.7861/clinmedicine.18-5-422.
Abstract
Headache is common. Up to 5% of attendances to emergency departments and acute medical units are due to headache. Headache is classified as either primary (eg migraine, cluster headache) or secondary to another cause (eg meningitis, subarachnoid haemorrhage). Even in the acute setting the majority of cases are due to primary causes. The role of the attending physician is to take a comprehensive history to diagnose and treat benign headache syndromes while ruling out sinister aetiologies. This brief article summarises the approach to assessment of headache presenting in acute and emergency care.
摘要
头痛很常见。高达 5%的急诊科和急性内科就诊是由于头痛。头痛分为原发性（如偏头痛、丛集性头痛）或继发性（如脑膜炎、蛛网膜下腔出血）。即使在急性情况下，大多数病例也是原发性的。主治医生的作用是通过全面的病史采集来诊断和治疗良性头痛综合征，同时排除严重的病因。本文简要总结了在急性和急诊护理中评估头痛的方法。
相似文献
1
Assessment of acute headache in adults - what the general physician needs to know.成人急性头痛评估——全科医生需要了解的内容。
Clin Med (Lond). 2018 Oct;18(5):422-427. doi: 10.7861/clinmedicine.18-5-422.
2
Emergency department management of the acute headache.急性头痛的急诊科管理
Clin Cornerstone. 1999;1(6):45-54. doi: 10.1016/s1098-3597(99)90039-x.
3
Warning symptoms of sinister headache.严重头痛的警示症状。
Singapore Med J. 1994 Jun;35(3):294-7.
4
Acute headache in the emergency department.急诊科的急性头痛
Handb Clin Neurol. 2010;97:173-81. doi: 10.1016/S0072-9752(10)97013-9.
5
Acute Headache Presentations to the Emergency Department: A Statewide Cross-sectional Study.急诊科急性头痛病例报告：一项全州范围的横断面研究。
Acad Emerg Med. 2017 Jan;24(1):53-62. doi: 10.1111/acem.13062.
6
7
Meningitis presenting as spontaneous subarachnoid haemorrhage (pseudo-subarachnoid haemorrhage).表现为自发性蛛网膜下腔出血的脑膜炎（假性蛛网膜下腔出血）。
Eur J Emerg Med. 2013 Apr;20(2):140-1. doi: 10.1097/MEJ.0b013e3283562c72.
8
Acute headache management in emergency department. A narrative review.急诊科急性头痛的管理：一篇叙述性综述。
Intern Emerg Med. 2020 Jan;15(1):109-117. doi: 10.1007/s11739-019-02266-2. Epub 2020 Jan 1.
9
[MRI diagnosis of patients with headache].[头痛患者的磁共振成像诊断]
No Shinkei Geka. 2009 Apr;37(4):325-41.
10
Headaches in the accident and emergency department.急诊部门的头痛问题。
Br J Hosp Med. 1997;57(5):202-6.
引用本文的文献
1
Increased optic nerve stiffness can aid in localizing ipsilateral brain or eye lesions in patients with secondary headaches.视神经僵硬度增加有助于定位继发性头痛患者同侧的脑部或眼部病变。
Quant Imaging Med Surg. 2025 May 1;15(5):4608-4615. doi: 10.21037/qims-2024-2760. Epub 2025 Apr 28.
2
Thunderclap headache as a first manifestation of acute disseminated encephalomyelitis: case report and literature review.雷击样头痛为急性播散性脑脊髓炎的首发表现：病例报告及文献复习。
BMC Neurol. 2024 Sep 4;24(1):315. doi: 10.1186/s12883-024-03803-z.
3
Acute headache management in emergency department. A narrative review.急诊科急性头痛的管理：一篇叙述性综述。
Intern Emerg Med. 2020 Jan;15(1):109-117. doi: 10.1007/s11739-019-02266-2. Epub 2020 Jan 1.
4
Subarachnoid haemorrhage.蛛网膜下腔出血
Clin Med (Lond). 2019 Jan;19(1):88-89. doi: 10.7861/clinmedicine.19-1-88a.
本文引用的文献
1
Migraine.偏头痛。
Lancet. 2018 Mar 31;391(10127):1315-1330. doi: 10.1016/S0140-6736(18)30478-1. Epub 2018 Mar 6.
2
Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition.国际头痛协会（IHS）头痛分类委员会《国际头痛疾病分类》第三版
Cephalalgia. 2018 Jan;38(1):1-211. doi: 10.1177/0333102417738202.
3
Diagnosis, pathophysiology, and management of cluster headache.丛集性头痛的诊断、病理生理学和治疗。
Lancet Neurol. 2018 Jan;17(1):75-83. doi: 10.1016/S1474-4422(17)30405-2. Epub 2017 Nov 23.
4
Distinguishing Characteristics of Headache in Nontraumatic Subarachnoid Hemorrhage.非创伤性蛛网膜下腔出血头痛的特征。
Headache. 2018 Mar;58(3):364-370. doi: 10.1111/head.13218. Epub 2017 Nov 4.
5
The initial time-course of headache in patients with spontaneous subarachnoid hemorrhage.自发性蛛网膜下腔出血患者头痛的初始时间进程。
J Neurol Sci. 2017 Aug 15;379:55-57. doi: 10.1016/j.jns.2017.05.050. Epub 2017 May 24.
6
Reversible Cerebral Vasoconstriction Syndrome: Recognition and Treatment.可逆性脑血管收缩综合征：识别与治疗
Curr Treat Options Neurol. 2017 Jun;19(6):21. doi: 10.1007/s11940-017-0460-7.
7
Spontaneous subarachnoid haemorrhage.自发性蛛网膜下腔出血。
Lancet. 2017 Feb 11;389(10069):655-666. doi: 10.1016/S0140-6736(16)30668-7. Epub 2016 Sep 13.
8
Cerebral Sinus Thrombosis.颅内静脉窦血栓形成。
Headache. 2016 Sep;56(8):1380-9. doi: 10.1111/head.12873. Epub 2016 Jun 28.
9
The UK joint specialist societies guideline on the diagnosis and management of acute meningitis and meningococcal sepsis in immunocompetent adults.英国联合专业学会关于免疫功能正常成年人急性脑膜炎和脑膜炎球菌败血症诊断与管理的指南。
J Infect. 2016 Apr;72(4):405-38. doi: 10.1016/j.jinf.2016.01.007. Epub 2016 Feb 2.
10
Headache in Intracranial and Cervical Artery Dissections.颅内和颈动脉瘤夹层中的头痛
Curr Pain Headache Rep. 2016 Feb;20(2):8. doi: 10.1007/s11916-016-0544-1.
Zotero 插件